Final simple pnds

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Final simple pnds

  1. 1. SIMPLE PNDS<br />Education Design by: <br />Marisa Tapia MSN RN ACNS-BC<br />
  2. 2.
  3. 3. We’ll start with what does the PNDS stand for ?<br />
  4. 4. PNDS<br />P<br />Perioperative <br />N<br />Nursing<br />D<br />Data <br />S<br />Set<br />
  5. 5. WHY use it? <br />
  6. 6. Here are some reasons <br /><ul><li>Clarity, preciseness, and consistency in the documented care given
  7. 7. Ensures visibility by the data being generated reflecting the clinical work flow.
  8. 8. Record keeping of perioperative data
  9. 9. Compare data being captured for effectiveness and efficiency
  10. 10. PNDS codes are built into the electronic health record (EHR) allowing you to document care that is safe</li></li></ul><li>This is about the charting the nurse does…<br />
  11. 11. The PNDS is…<br />
  12. 12. A nursing language<br />Not a computer program<br />A method to document and collect perioperative nursing care data to evaluate nursing care to determine evidence based practice <br />Let me show you…<br />
  13. 13. Perioperative<br />Clinical Workflow <br />Perioperative Clinical Documentation<br />Optimal Patient Outcome<br />
  14. 14. The PNDS codes capture the documentation of the care the nurse provide in the operating room to their patients in the electronic health record. <br />Click to save<br />
  15. 15. Moving on to its importance…<br />
  16. 16. Why relevant? <br /> The PNDS is an approved ANA (American Nurses Association) nursing language that provides a true perioperative standardized method of documentation to gather data in order to measure clinical impact versusnon-clinical variables or values such as turnover time (measurement of efficiency not nursing care).<br />
  17. 17. This will produce…<br /><ul><li>Documented data
  18. 18. Provide solid evidence
  19. 19. Promote practice guidelines
  20. 20. Generate outcomes that will promote:
  21. 21. Evidence Based Practice
  22. 22. Benchmarking</li></li></ul><li>Let’s Review<br />
  23. 23. DEFINITION<br />The PNDS is a standardized vocabulary that describes perioperative nursing practice by providing formal definitions when the nurse is documenting the care provided to the patient in surgery via the electronic healthcare record (EHR)-The “charting”.<br />
  24. 24. Will it create more work? <br />
  25. 25. Nurses have so much to do already, adding one more thing could cause harm to the patient…<br />
  26. 26. The PNDS will not make more work for you or harm the patient.<br />The PNDS will itemize what you do for the care you provide for each patient.<br />
  27. 27. PNDS: <br />Identifies the true value of the work the nurse provides during the care of the patient in surgery<br />
  28. 28. PNDS captures the essence of caring…<br />for the patient <br />
  29. 29. The PNDS uses the nursing process as the foundation for the documentation in the electronic health record <br />
  30. 30. Correctly using this <br />While providing this<br />And documenting this…<br />Will avoid this…. <br />
  31. 31.
  32. 32. The RN in surgery: ROI<br />The PNDS provides the documented value, cost-effectiveness, and the contributions of professional nurses in the perioperative setting while gathering reliable perioperative data for future research related to perioperative nursing care.<br />
  33. 33. From admission….<br />
  34. 34. …to documenting the care provided by the nurse in surgery…..<br />Click to save<br />
  35. 35.
  36. 36.
  37. 37. Turnover time is not a measurement of nursing care or nursing quality but rather a measurement of efficiency<br />
  38. 38. …it documents thevalue ofprofessional nurses providingcareto the patient undergoing a surgical intervention…<br />
  39. 39. Isn’t that what NURSES are supposed to be doing? <br />
  40. 40. The work Nurses do in the operating room will now be captured, collected, validated and…..<br />
  41. 41. …studied…but…. <br />
  42. 42. What can be gained from the PNDS?<br />
  43. 43.
  44. 44. Additionally,<br />The care that is documented will be collected and is retrievable via the PNDS codes for data analysis and quality measures, such as SCIP and nurse sensitive patient outcomes (NDNQI) which will provide the evidence for best practices. <br />
  45. 45. Researched and tested<br />
  46. 46. Start with this<br />To get to this<br />
  47. 47. What will all this stuff generate?<br />
  48. 48.
  49. 49. But….<br />
  50. 50. From this<br />To this, for the perioperative specialty <br />
  51. 51. Resulting in this<br />
  52. 52. PNDS identifies and generates:<br /><ul><li>Quality Measures
  53. 53. Patient-centered care activity
  54. 54. Evidence-based practice guidelines
  55. 55. Performance-driven outcomes </li></li></ul><li>Putting it all together…..<br />
  56. 56.
  57. 57. Let me give you an example<br />
  58. 58. Surgical Counts:<br />Every step will be documented from opening the sterile instruments, checking sterility, to performing the instrument count, separating sponges to performing a sponge count, to identifying items to be included in the surgical count.<br />
  59. 59.
  60. 60. The PNDS includes computerized codes which will facilitate consistent electronic documentation, quality initiative identification, and clinical reporting in the perioperative setting that will be built into the program your facility purchases.<br />
  61. 61.
  62. 62. PNDS has built in codes. These codes are the data points that when you document the care YOU provide, will be captured and used for nursing quality outcomes via the computer program your facility purchases.<br />
  63. 63. Now the nursing care will be recognized in research studies, in evidence based practice and in nursing quality outcomes <br />
  64. 64. So don’t practice like this…<br />Or else…<br />
  65. 65. This<br />Will lead to this<br />
  66. 66. Use this<br />With this<br />To gain this… <br />
  67. 67. Positive Patient Outcome <br />PNDS captures all the data for this patient’s surgery and the care he received<br />GOAL MET<br />
  68. 68.
  69. 69. Resources<br />Slide 5 HUH http://krapps.com/2009/07/13/mischief-lure-drawing-iphone-app/<br />Slide 7 and 8 Cartoon http://www.nataliedee.com/archives/2009/Jun/<br />Slide 11 Computer Screen Shot http://www.downloadpipe.com/Windows/network-internet-terminal-telnet-clients/review-ZOC-Terminal-SSH-Telnet-Serial-73906.html<br />Slide 18 Frustrated nurse http://www.shutterstock.com/pic-13153471/stock-photo-young-nurse-stressed-out-and-upset-at-work.html<br />Slide 20 Focus on Quality http://www.fotolia.com/id/1040805<br />Slide 28 Aha http://femibeckley.blogspot.com/<br />Slide 29 don’t forget http://www.mikemccready.ca/blog/2009/02/my-new-favorite-blogging-toy-scribefire/<br /> slide 30 Einstein duh http://loanworkout.org/2009/05/can-all-homeowners-get-free-foreclosure-help/<br />Slide 34 Boy reading http://www.cclibraries.com/index.php/centennial-celebration<br />Slide 56 judge and gavel http://www.memphisinjurylawyerblog.com/divorce/<br />Slide 57 computer on wheels (COW) http://www.interiormall.com/cat/ndisplaycoll.asp?c1=Furniture&book=1738<br />Slide 10, 26, 27, 30-33, 35, 36, 38, 39, 40, 41- 50, 52, 53, 54, 55, 57 and 58 personal photographs and graphics M. Tapia and AORN .<br />Slides 8, 56 (harm), photographs from Microsoft Office Online http://office.microsoft.com/en-us/clipart/default.aspx<br />Slide 59 Choose the right tool http://webtools4u2use.wikispaces.com/Finding+the+Right+Tool<br />

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